ICD-10-CM Clinical Concepts · FY 2026 229 Codes
Common ICD-10-CM Codes for Clinical Concepts for Family Practice ICD-10-CM
Clinical Concepts for Family Practice providers see a recurring set of conditions, and this reference collects the 229 ICD-10-CM codes they report most often, organized into 13 clinical concepts from abdominal pain onward. Billable codes carry the green check; entries with the amber note point at a category where a more specific code should be considered first. Every code links to its full code page for verification.
✓ Codes validated against the official CMS FY 2026 code setEffective Oct 1, 2025 – Sep 30, 2026
13
Concept Groups
229
Codes
197
Billable
FY 2026
Dataset
229 of 229 shown
Abdominal Pain 12 codes
- R10.0 Acute abdomen
- R10.10 Upper abdominal pain, unspecified
- R10.11 Right upper quadrant pain
- R10.12 Left upper quadrant pain
- R10.13 Epigastric pain
- R10.2 Pelvic and perineal pain Non-billable
- R10.30 Lower abdominal pain, unspecified
- R10.31 Right lower quadrant pain
- R10.32 Left lower quadrant pain
- R10.33 Periumbilical pain
- R10.84 Generalized abdominal pain
- R10.9 Unspecified abdominal pain specificity
Acute Respiratory Infections 13 codes
- J02.8 Acute pharyngitis due to other specified organisms
- J02.9 Acute pharyngitis, unspecified specificity
- J06.9 Acute upper respiratory infection, unspecified specificity
- J20.0 Acute bronchitis due to Mycoplasma pneumoniae
- J20.1 Acute bronchitis due to Hemophilus influenzae
- J20.2 Acute bronchitis due to streptococcus
- J20.3 Acute bronchitis due to coxsackievirus
- J20.4 Acute bronchitis due to parainfluenza virus
- J20.5 Acute bronchitis due to respiratory syncytial virus
- J20.6 Acute bronchitis due to rhinovirus
- J20.7 Acute bronchitis due to echovirus
- J20.8 Acute bronchitis due to other specified organisms
- J20.9 Acute bronchitis, unspecified specificity
Back and Neck Pain 5 codes
- M54.2 Cervicalgia
- M54.5 Low back pain Non-billable
- M54.6 Pain in thoracic spine
- M54.89 Other dorsalgia
- M54.9 Dorsalgia, unspecified specificity
Chest Pain 6 codes
- R07.1 Chest pain on breathing
- R07.2 Precordial pain
- R07.81 Pleurodynia
- R07.82 Intercostal pain
- R07.89 Other chest pain
- R07.9 Chest pain, unspecified specificity
Diabetes Mellitus w/o Complications Type 2 1 codes
- E11.9 Type 2 diabetes mellitus without complications
Diabetes Mellitus with Complications Type 2 114 codes
- E11.1 Type 2 diabetes mellitus with ketoacidosis Non-billable
- E11.10 Type 2 diabetes mellitus with ketoacidosis without coma
- E11.11 Type 2 diabetes mellitus with ketoacidosis with coma
- E11.2 Type 2 diabetes mellitus with kidney complications Non-billable
- E11.21 Type 2 diabetes mellitus with diabetic nephropathy
- E11.22 Type 2 diabetes mellitus with diabetic chronic kidney disease
- E11.29 Type 2 diabetes mellitus with other diabetic kidney complication
- E11.3 Type 2 diabetes mellitus with ophthalmic complications Non-billable
- E11.31 Type 2 diabetes mellitus with unspecified diabetic retinopathy Non-billable
- E11.311 Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema
- E11.319 Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema
- E11.32 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy Non-billable
- E11.321 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema Non-billable
- E11.3211 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye
- E11.3212 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye
- E11.3213 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral
- E11.3219 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye
- E11.329 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema Non-billable
- E11.3291 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye
- E11.3292 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye
- E11.3293 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral
- E11.3299 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye
- E11.33 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy Non-billable
- E11.331 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema Non-billable
- E11.3311 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye
- E11.3312 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye
- E11.3313 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral
- E11.3319 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye
- E11.339 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema Non-billable
- E11.3391 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye
- E11.3392 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye
- E11.3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral
- E11.3399 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye
- E11.34 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy Non-billable
- E11.341 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema Non-billable
- E11.3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye
- E11.3412 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye
- E11.3413 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral
- E11.3419 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye
- E11.349 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema Non-billable
- E11.3491 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye
- E11.3492 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye
- E11.3493 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral
- E11.3499 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye
- E11.35 Type 2 diabetes mellitus with proliferative diabetic retinopathy Non-billable
- E11.351 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema Non-billable
- E11.3511 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye
- E11.3512 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye
- E11.3513 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral
- E11.3519 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye
- E11.352 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula Non-billable
- E11.3521 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye
- E11.3522 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye
- E11.3523 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral
- E11.3529 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye
- E11.353 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula Non-billable
- E11.3531 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye
- E11.3532 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye
- E11.3533 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral
- E11.3539 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye
- E11.354 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment Non-billable
- E11.3541 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye
- E11.3542 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye
- E11.3543 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral
- E11.3549 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye
- E11.355 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy Non-billable
- E11.3551 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, right eye
- E11.3552 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, left eye
- E11.3553 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral
- E11.3559 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye
- E11.359 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema Non-billable
- E11.3591 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye
- E11.3592 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye
- E11.3593 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral
- E11.3599 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye
- E11.36 Type 2 diabetes mellitus with diabetic cataract
- E11.37 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment Non-billable
- E11.37X1 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye
- E11.37X2 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye
- E11.37X3 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral
- E11.37X9 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye
- E11.39 Type 2 diabetes mellitus with other diabetic ophthalmic complication
- E11.4 Type 2 diabetes mellitus with neurological complications Non-billable
- E11.40 Type 2 diabetes mellitus with diabetic neuropathy, unspecified
- E11.41 Type 2 diabetes mellitus with diabetic mononeuropathy
- E11.42 Type 2 diabetes mellitus with diabetic polyneuropathy
- E11.43 Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy
- E11.44 Type 2 diabetes mellitus with diabetic amyotrophy
- E11.49 Type 2 diabetes mellitus with other diabetic neurological complication
- E11.5 Type 2 diabetes mellitus with circulatory complications Non-billable
- E11.51 Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
- E11.52 Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene
- E11.59 Type 2 diabetes mellitus with other circulatory complications
- E11.6 Type 2 diabetes mellitus with other specified complications Non-billable
- E11.61 Type 2 diabetes mellitus with diabetic arthropathy Non-billable
- E11.610 Type 2 diabetes mellitus with diabetic neuropathic arthropathy
- E11.618 Type 2 diabetes mellitus with other diabetic arthropathy
- E11.62 Type 2 diabetes mellitus with skin complications Non-billable
- E11.620 Type 2 diabetes mellitus with diabetic dermatitis
- E11.621 Type 2 diabetes mellitus with foot ulcer
- E11.622 Type 2 diabetes mellitus with other skin ulcer
- E11.628 Type 2 diabetes mellitus with other skin complications
- E11.63 Type 2 diabetes mellitus with oral complications Non-billable
- E11.630 Type 2 diabetes mellitus with periodontal disease
- E11.638 Type 2 diabetes mellitus with other oral complications
- E11.64 Type 2 diabetes mellitus with hypoglycemia Non-billable
- E11.641 Type 2 diabetes mellitus with hypoglycemia with coma
- E11.649 Type 2 diabetes mellitus with hypoglycemia without coma
- E11.65 Type 2 diabetes mellitus with hyperglycemia
- E11.65 Type 2 diabetes mellitus with hyperglycemia
- E11.69 Type 2 diabetes mellitus with other specified complication
- E11.69 Type 2 diabetes mellitus with other specified complication
- E11.8 Type 2 diabetes mellitus with unspecified complications
- E11.9 Type 2 diabetes mellitus without complications
General Medical Examination 4 codes
- Z00.00 Encounter for general adult medical examination without abnormal findings
- Z00.01 Encounter for general adult medical examination with abnormal findings
- Z12.4 Encounter for screening for malignant neoplasm of cervix
- Z12.5 Encounter for screening for malignant neoplasm of prostate
Headache 4 codes
- G44.1 Vascular headache, not elsewhere classified
- R51 Headache Non-billable
- R51.0 Headache with orthostatic component, not elsewhere classified
- R51.9 Headache, unspecified
Hypertension 2 codes
Other Forms Of Heart Disease 3 codes
- I48.0 Paroxysmal atrial fibrillation
- I48.2 Chronic atrial fibrillation Non-billable
- I48.91 Unspecified atrial fibrillation specificity
Pain in Joint 19 codes
- M25.50 Pain in unspecified joint specificity
- M25.511 Pain in right shoulder
- M25.512 Pain in left shoulder
- M25.519 Pain in unspecified shoulder specificity
- M25.521 Pain in right elbow
- M25.522 Pain in left elbow
- M25.529 Pain in unspecified elbow specificity
- M25.531 Pain in right wrist
- M25.532 Pain in left wrist
- M25.539 Pain in unspecified wrist specificity
- M25.551 Pain in right hip
- M25.552 Pain in left hip
- M25.559 Pain in unspecified hip specificity
- M25.561 Pain in right knee
- M25.562 Pain in left knee
- M25.569 Pain in unspecified knee specificity
- M25.571 Pain in right ankle and joints of right foot
- M25.572 Pain in left ankle and joints of left foot
- M25.579 Pain in unspecified ankle and joints of unspecified foot specificity
Pain in Limb 31 codes
- M79.601 Pain in right arm
- M79.602 Pain in left arm
- M79.603 Pain in arm, unspecified specificity
- M79.604 Pain in right leg
- M79.605 Pain in left leg
- M79.606 Pain in leg, unspecified specificity
- M79.609 Pain in unspecified limb
- M79.621 Pain in right upper arm
- M79.622 Pain in left upper arm
- M79.629 Pain in unspecified upper arm specificity
- M79.631 Pain in right forearm
- M79.632 Pain in left forearm
- M79.639 Pain in unspecified forearm specificity
- M79.641 Pain in right hand
- M79.642 Pain in left hand
- M79.643 Pain in unspecified hand specificity
- M79.644 Pain in right finger(s)
- M79.645 Pain in left finger(s)
- M79.646 Pain in unspecified finger(s) specificity
- M79.651 Pain in right thigh
- M79.652 Pain in left thigh
- M79.659 Pain in unspecified thigh specificity
- M79.661 Pain in right lower leg
- M79.662 Pain in left lower leg
- M79.669 Pain in unspecified lower leg specificity
- M79.671 Pain in right foot
- M79.672 Pain in left foot
- M79.673 Pain in unspecified foot specificity
- M79.674 Pain in right toe(s)
- M79.675 Pain in left toe(s)
- M79.676 Pain in unspecified toe(s) specificity
Urinary Tract Infection, Cystitis 15 codes
- N30.00 Acute cystitis without hematuria
- N30.01 Acute cystitis with hematuria
- N30.10 Interstitial cystitis (chronic) without hematuria
- N30.11 Interstitial cystitis (chronic) with hematuria
- N30.20 Other chronic cystitis without hematuria
- N30.21 Other chronic cystitis with hematuria
- N30.30 Trigonitis without hematuria
- N30.31 Trigonitis with hematuria
- N30.40 Irradiation cystitis without hematuria
- N30.41 Irradiation cystitis with hematuria
- N30.80 Other cystitis without hematuria
- N30.81 Other cystitis with hematuria
- N30.90 Cystitis, unspecified without hematuria
- N30.91 Cystitis, unspecified with hematuria
- N39.0 Urinary tract infection, site not specified specificity
Entries marked specificity point at a category: codes with a greater degree of specificity should be considered first.
Related References
Clinical Concepts for CardiologyClinical Concepts for Internal MedicineClinical Concepts for OB/GYNClinical Concepts for OrthopedicsClinical Concepts for PediatricsAll Clinical ConceptsICD-10-CM Code LookupICD-10-CM Codes List
Source: CMS ICD-10 Clinical Concepts guides, with every code validated against the official FY 2026 ICD-10-CM code set, effective October 1, 2025 through September 30, 2026.
